Healthcare Provider Details

I. General information

NPI: 1922678903
Provider Name (Legal Business Name): TOWER IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13330 USF LAUREL DR
TAMPA FL
33612-6601
US

IV. Provider business mailing address

8800 GRAND OAK CIR STE 400
TAMPA FL
33637-2006
US

V. Phone/Fax

Practice location:
  • Phone: 813-253-2721
  • Fax: 813-253-2299
Mailing address:
  • Phone: 813-253-2721
  • Fax: 813-254-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERRI LEWMAN
Title or Position: SVP ENTERPRISE IMAGING
Credential: MHA
Phone: 813-261-2400